3.6.

DAY TO DAY CARE OF THE CLIENT

Procedures Time
Bedmaking 7.30 – 8am
Patient welcoming 8am – 9am
Vital signs 9am-10am
Administration of Medication (morning doses) 10am-11am
Health Education 11am – 12pm
Vital signs 12pm – 1pm
Administration of Medication (Noon doses) 1pm – 2pm
Closing and hand over 2.00pm

3.7. NURSING CARE PLAN

S/ Nursing Outcome Implementation Rationale Evaluation

N diagnosi
s
1 Grieving Within the 1. Assess severity of 1. Patient/ Patient was
related to period of depression couple may able to
loss of hospitalizatio 2. Patient’s/couple’s detach identified and
fetus n Patient will information and themselves expresses her
evidence identifies and understanding of and have feelings,
by verbal expresses events surrounding the problem sadness, guilt
expression feelings (e.g., death of the making and fear
of distress sadness, fetus/infant was decisions. freely
guilt, fear) assessed 2. To
freely. 3. .Colleagues were alert established
about the patient . baseline
4. therapeutic data
communication skills  3. To be aware
was used of the
5. patient’s activity eg patient
level, sleep pattern, situation
appetite, and personal 4. To relief
hygiene was closely grieve
observed 5. To cope
with distress
2 Risk for Patient will 1. Patient knowledge 1. To There was no
infection be free from about IUFD and its established signs and
related to infection consequences was baseline data symptoms of
IUFD during the assessed 2. To prevent infection
period of 2. Personal Hygiene infection during the
hospitalizatio was thought and 3. For comfort period of
n assisted 4. Antibiotics hospitalizatio
3. Perinea care done help to fight n
daily and kills
 4. Prescribed microorganis
antibiotic was m
served 5. To detect any
5. Reassessment was signs of
done infection

3.8. Health education on discharge

She was educated on the following;

 Adhere to medication especially the antibiotics even when feeling well

 Personal hygiene
 Follow-up at the client
 She was advice to verbalised feelings and concern
 She was advice to seek council when necessary
 She was also advice to return to the unit if she have a fever.
 If she is bleeding heavily.
 She feel sick, vomiting, and have diarrhea or abdominal pain.
 If she is depressed and feel like she cannot cope with what has happened.
 Chapter 4

4.2. Summary of client care

4.2. Conclusion

In conclusion, according to UNICEF (2020) Nigeria accounts for one of the

highest stillbirth rates in the African continent. It is one of six countries that
bears the burden of half of all stillbirths globally, together with India, Pakistan,
the Democratic Republic of the Congo, China and Ethiopia. 
Between 2000-2019 Nigeria reported a 15 percent increase in the number of
stillbirths. It is estimated that the total number of stillbirths in Nigeria in 2019 
was 171,428 .  A stillbirth is defined in the report as a baby born with no signs
of life at 28 weeks of pregnancy or more.
Base on out study and reviews Efforts to address these factors through improved
patients’ education and emergency obstetric care would reduce the rate of
stillbirth in the country. Okonofua, F.E., Ntoimo, L.F.C., Ogu, R. et al(2019)

4.3. Recommendation

1. Free Perinatal autopsies on the stillborn babies should be conducted to

detect the cause of the death
2. Good quality antenatal care services and skilled attendance and appropriate care at
delivery should br made universally available and accessible.
3. Public aware about still birth and the causes should be enlighten to all
mothers through TV, healthcare, radios publicly to enhance understand
and followup
4. Antenatal services to all pregnant mothers should be zero fee
5. Health education about Family planning should be enhance
REFERENCE
United Nations Children's Fund  UNICEF.(2020). https://www.unicef.org/nigeria/stories/hidden-tragedy-nigeria-
accounts-one-highest-stillbirth-rates-africa

Okonofua, F.E., Ntoimo, L.F.C., Ogu, R. et al. Prevalence and determinants of stillbirth in Nigerian referral hospitals:
a multicentre study. BMC Pregnancy Childbirth 19, 533 (2019). https://doi.org/10.1186/s12884-019-2682-z